Fella Health vs Sesame Care: Which GLP-1 Program Is Better? (2026)
A detailed side-by-side comparison of Fella Health and Sesame Care to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.
Quick Verdict
We recommend Sesame Care
Between these two providers, Sesame Care is our pick for most users. It offers a higher overall rating (7.2 vs 6), availability in all 50 states, insurance acceptance. That said, Fella Health may be the better fit if you are looking for men who want a men-focused weight loss program with a money-back guarantee.
Sesame Care scores 7.2/10 in our independent evaluation at $208/month, while Fella Health scores 6/10 at $165/month. Both programs include a licensed physician consultation and ship medication directly to your door. Sesame Care accepts insurance, which can significantly reduce costs. Sesame Care also offers oral GLP-1 options for patients who prefer pills over injections. Our rating considers five factors: safety and medical oversight (30%), pricing transparency (25%), cost value (20%), clinical support quality (15%), and onboarding speed (10%). We earn affiliate commissions from some providers, disclosed on this page; no provider can pay to fake safety, licensing, or hide the downsides. Prices verified April 2026.
Side-by-Side Comparison
| Feature | Fella Health | Sesame Care |
|---|---|---|
| Monthly Price | $165 | $208 |
| Rating | 6 / 10 | 7.2 / 10 |
| Medication Type | Compounded Only | Brand-Name Only |
| Insurance Accepted | No | Yes |
| States Available | 35 states | All 50 states |
| Consultation Fee | Included | $59/mo care subscription (12-month commitment) |
| Shipping | Free Shipping | Paid |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed physicians, health coaching, lab work | Licensed physicians, per-visit model |
Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated April 2026.
Fella Health: Detailed Look
Fella Health
The medication weight loss program for men with a 6-month money-back guarantee
Pros
- 6-month money-back guarantee — full refund if <5% body weight lost
- No dose-based price increases as your dosage goes up
- Includes lab work, coaching, and medical oversight in plan price
- Average members report 10.4% body weight loss by month 6
Cons
- Limited state availability — not available in all 50 states
- Recent complaints about drug shortages and shipping delays
Men who want a men-focused weight loss program with a money-back guarantee
Sesame Care: Detailed Look
Sesame Care
Affordable telehealth marketplace connecting patients with doctors from $25
Pros
- Lowest consultation cost — visits from just $25
- Prescribes brand-name FDA-approved medications
- Transparent per-visit pricing with no subscriptions
- Wide network of licensed physicians across all 50 states
Cons
- Medication cost is separate and not included in visit fee
- No compounded options — brand-name only (higher drug cost)
People who specifically want brand-name FDA-approved GLP-1s and will commit to a year of care — not the cheapest route, and no compounded option
Which Should You Choose?
The right choice depends on your specific needs and priorities. Here is a quick decision framework:
Go with Fella Health at $165/month. $165/mo semaglutide, $399/mo tirzepatide on 3-month plan.
Sesame Care has the edge with a 7.2 rating.
Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.
Choose Sesame Care which exclusively prescribes brand-name medications.
Fella Health focuses on compounded medications at a lower price point.
Compare their support: Fella Health offers licensed physicians, health coaching, lab work, while Sesame Care provides licensed physicians, per-visit model.
Sesame Care at $208/month may offer features that justify the premium.
Frequently Asked Questions
Is Fella Health better than Sesame Care?
Fella Health has a 6 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — Fella Health is best for men who want a men-focused weight loss program with a money-back guarantee, while Sesame Care is best for people who specifically want brand-name fda-approved glp-1s and will commit to a year of care — not the cheapest route, and no compounded option.
How much does Fella Health cost compared to Sesame Care?
Fella Health starts at $165/month ($165/mo semaglutide, $399/mo tirzepatide on 3-month plan), while Sesame Care starts at $208/month (sesame has moved to a "success by sesame" subscription: $59/mo for care (priced on a 12-month commitment) plus medication billed separately — wegovy from $149/mo brings the all-in to roughly $208/mo, and zepbound from $299/mo to roughly $358/mo. brand-name fda-approved medication only; sesame no longer offers a compounded option, so it does not appear in our compounded price ladders. sesame notes medication pricing may vary by treatment, dose, pharmacy and provider, so these are floors rather than guarantees. verified august 31, 2026.).
Do Fella Health and Sesame Care accept insurance?
Fella Health does not accept insurance. Sesame Care accepts insurance.
Which GLP-1 medications does Fella Health offer vs Sesame Care?
Fella Health offers Compounded Semaglutide, Compounded Tirzepatide. Sesame Care offers Wegovy, Wegovy HD, Wegovy (oral), Zepbound, Zepbound KwikPen, Foundayo.
Can I cancel Fella Health or Sesame Care at any time?
Fella Health allows cancel anytime. Sesame Care also allows cancel anytime.
Are Fella Health and Sesame Care available in my state?
Fella Health is available in 35 states. Sesame Care is available in all 50 states.
Not sure Fella Health or Sesame Care is right for you?
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